Type 2 Diabetes Screening Test by Means of a Pulse Oximeter

IEEE Trans Biomed Eng. 2017 Feb;64(2):341-351. doi: 10.1109/TBME.2016.2554661.

Abstract

In this paper, we propose a method for screening for the presence of type 2 diabetes by means of the signal obtained from a pulse oximeter. The screening system consists of two parts: the first analyzes the signal obtained from the pulse oximeter, and the second consists of a machine-learning module. The system consists of a front end that extracts a set of features form the pulse oximeter signal. These features are based on physiological considerations. The set of features were the input of a machine-learning algorithm that determined the class of the input sample, i.e., whether the subject had diabetes or not. The machine-learning algorithms were random forests, gradient boosting, and linear discriminant analysis as benchmark. The system was tested on a database of [Formula: see text] subjects (two samples per subject) collected from five community health centers. The mean receiver operating characteristic area found was [Formula: see text]% (median value [Formula: see text]% and range [Formula: see text]%), with a specificity = [Formula: see text]% for a threshold that gave a sensitivity = [Formula: see text]%. We present a screening method for detecting diabetes that has a performance comparable to the glycated haemoglobin (haemoglobin A1c HbA1c) test, does not require blood extraction, and yields results in less than 5 min.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Algorithms
  • Diabetes Mellitus, Type 2 / diagnosis*
  • Diagnosis, Computer-Assisted / methods*
  • Heart Rate / physiology
  • Humans
  • Middle Aged
  • Oximetry / methods*
  • Oxygen / blood
  • Photoplethysmography
  • ROC Curve
  • Signal Processing, Computer-Assisted*

Substances

  • Oxygen